Individual
RACHEL A SHEPARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1150 N ROOSEVELT DR, STE 104, SEASIDE, OR 97138-7044
(503) 717-7150
Mailing address
1150 N ROOSEVELT DR, STE 104, SEASIDE, OR 97138
(503) 717-7150
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
17356
CA
363LF0000X
Family Nurse Practitioner
Primary
201509470NP-PP
OR
Other
Enumeration date
09/09/2007
Last updated
10/25/2024
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